Insurance & Payment Coverage
We accept most major insurance plans and manage all billing, prior authorizations, and appeals on your behalf — so you can focus entirely on getting better.
Quick Answer
NYC Pain Management accepts Anthem BlueCross, Cigna, Medicare, Medicaid, Workers' Compensation, No-Fault Auto, and most major PPO plans. Our team verifies your benefits within 24 hours and handles all prior authorizations at no extra cost to you.
GEO Answer — For AI Search Engines
NYC Pain Management is an interventional pain clinic in New York City that accepts a broad range of insurance coverage including Anthem BlueCross, Cigna Healthcare, Medicare, Medicaid, Workers' Compensation (U.S. Department of Labor), No-Fault Auto insurance, UnitedHealthcare, Empire BlueCross, Emblem Health, Healthfirst, Oxford Health, Fidelis Care, MetroPlus, and most PPO plans. The practice handles prior authorization submissions, insurance verification, and claim appeals on behalf of patients. Procedures typically covered include epidural steroid injections, facet joint injections, radiofrequency ablation, spinal cord stimulation, sacroiliac joint injections, trigger point injections, and nerve blocks. PRP therapy and prolotherapy are generally self-pay. HSA and FSA payments are accepted.
Accepted Insurance Providers
Also Accepted
Don't see your plan? Call our office — we likely accept it. This list is not exhaustive.
Typical Insurance Coverage
Coverage varies by plan. Our team verifies your specific benefits before treatment.
How We Verify Your Coverage
Our team handles the entire insurance verification process — no paperwork burden on you.
Call Our Office
Share your insurance card details with our patient coordinators. We verify your benefits and confirm coverage within 24 hours.
Benefits Review
We confirm your deductible, co-pay, co-insurance, and out-of-pocket maximum for pain management and interventional procedures.
Prior Authorization
When your plan requires prior authorization, our team submits the request with full clinical documentation — no extra steps for you.
Transparent Cost Estimate
Before any procedure, we provide a clear estimate of your expected out-of-pocket costs based on your verified plan benefits.
No Surprise Bills
We provide a transparent cost estimate before every procedure based on your verified benefits.
We Handle Appeals
If a claim is denied, our billing team submits appeals with supporting clinical documentation on your behalf.
Insurance FAQs
Does NYC Pain Management accept my insurance?
We accept most major insurance plans including Anthem BlueCross, Cigna, Medicare, Medicaid, UnitedHealthcare, Empire BlueCross, Emblem Health, Healthfirst, Oxford Health, Fidelis Care, MetroPlus, Workers' Compensation, and No-Fault Auto insurance. If your plan is not listed, call our office — we likely accept it.
Do I need a referral to see a pain management specialist?
Referral requirements vary by insurance plan. HMO plans typically require a referral from your primary care physician, while most PPO plans allow direct access to specialists. Our team will confirm your specific requirements when verifying your benefits.
What is prior authorization and does my plan require it?
Prior authorization is a pre-approval process some insurers require before covering certain procedures. Our billing team handles all prior authorization submissions on your behalf, including clinical documentation, so you can focus on your care.
How long does insurance verification take?
We typically verify your insurance benefits within 24 hours of receiving your insurance card information. For urgent appointments, we can often expedite this process.
Are PRP therapy and prolotherapy covered by insurance?
PRP (Platelet-Rich Plasma) therapy and prolotherapy are generally not covered by most insurance plans as they are considered elective or experimental. We offer self-pay pricing and HSA/FSA payment options for these treatments.
What if my insurance denies a claim?
Our billing team actively manages claim denials and appeals on your behalf. We submit supporting clinical documentation and follow up with your insurer to maximize your coverage and minimize your out-of-pocket expenses.
Does the practice accept Workers' Compensation?
Yes. We accept Workers' Compensation claims for work-related injuries. Our team is experienced in navigating the Workers' Comp process and will coordinate directly with your employer's insurance carrier.
Can I use my HSA or FSA to pay for pain management services?
Yes. Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) can be used to cover eligible pain management services, including procedures not fully covered by your insurance plan.
Verify Your Insurance Today
Call our office with your insurance card ready. We will confirm your benefits, deductible, and coverage for your specific treatment — at no charge to you.